Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Riya Jacob

Individual provider Nurse Practitioner · NPI 1043635899

Riya Jacob is a Nurse Practitioner in Hollywood, Florida. Qualified in 2012, 14 years ago. Practices with South Broward Hospital District, a 665-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2014
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Practice location Address checks out

1150 N 35th Ave Ste 605
Hollywood, FL 33021
Phone: (954) 443-3542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9274670 (FL)

Record details

NPI number1043635899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2014
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address2900 Corporate Way, Door D, Miramar, FL 33025-3925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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